Day Visit Registration Form

(*) denotes required information.

* First Name:

* Last Name:

* Gender:

* Address:

* City:

* State:

* Zip:

* Student Email:

* High School:

* Home Phone:

* Student Cell Phone:

Parent Cell Phone:

* Parent Email:

* Area(s) of Academic Interest:

* Extra-Curricular Interests:

* What is your scheduling preference?
1 class
2 classes
1 class and a meet with a professor

* Would you like a campus tour during your visit?
Yes
No

* Are you interested in the Sunderman Conservatory of Music?
Yes
No

* Primary Instrument:

* Music Degree(s) Interest:

Would you like to schedule an audition?
Yes
No

Would you like to schedule a private lesson?
Yes
No

Are there any other music faculty you would like to meet with? If yes, who?

Additional Music Requests:

* Date of Day Visit:

Additional Information: i.e., other appointments you are planning to schedule: